Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.26 / $4,928.60 / $10,296.00	Facility		$1,335.26	$4,928.60	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.13 / $1,239.13 / $2,703.64	Professional		$982.13	$1,239.13	$2,703.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,359.00 / $12,869.00	Facility		$4,100.00	$7,359.00	$12,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.88 / $1,088.22 / $2,767.54	Professional		$875.88	$1,088.22	$2,767.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,530.54 / $1,530.54 / $1,530.54	Facility		$1,530.54	$1,530.54	$1,530.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,530.54 / $1,530.54 / $1,530.54	Professional		$1,530.54	$1,530.54	$1,530.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $1,664.27 / $1,664.27	Facility		$1,664.27	$1,664.27	$1,664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.96 / $1,595.19 / $4,894.35	Professional		$915.96	$1,595.19	$4,894.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,331.51 / $4,106.68	Facility		$332.00	$1,331.51	$4,106.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,754.95 / $2,055.35 / $5,074.03	Professional		$1,754.95	$2,055.35	$5,074.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.13 / $1,815.71 / $2,995.06	Professional		$998.13	$1,815.71	$2,995.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,664.27 / $87,831.00	Facility		$555.00	$1,664.27	$87,831.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $965.59 / $1,572.87 / $4,306.02	Professional		$965.59	$1,572.87	$4,306.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,194.00 / $9,202.00	Facility		$1,694.00	$4,194.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.02 / $1,547.81 / $3,081.67	Professional		$995.02	$1,547.81	$3,081.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,521.97 / $1,648.95 / $1,648.95	Facility		$1,521.97	$1,648.95	$1,648.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,154.54 / $1,648.95 / $3,382.12	Professional		$1,154.54	$1,648.95	$3,382.12